Strategic thinkers exhibit which of the following skills?
a.Discomfort with uncertainty and risk
b.The ability to gain a powerful core of healthcare entity supporters and customers
c.Flexibility but lacking creativity
...
Strategic thinkers exhibit which of the following skills?
a.Discomfort with uncertainty and risk
b.The ability to gain a powerful core of healthcare entity supporters and customers
c.Flexibility but lacking creativity
d.An ability to implement the vision and plan and be uncomfortable with change - Correct
answer-b The ability to gain a powerful core of healthcare entity supporters and customers.
Strategic thinking is a way of introducing innovation into decision making and engaging others
in the process of change. The skills that distinguish a strategic thinker include the ability to plan
and strategize, flexibility and creativity, comfort with uncertainty and risk, a sense of urgency
and vision of how to move change forward positively, being able to gain a powerful core of
organizational supporters and customers, and the capability to communicate the vision and plans
(Shaw and Carter 2014; LaTour et al. 2013,868).
Mr. Ace was seen in the outpatient clinic and treated with Z-Max for bronchitis. The patient
presented to the ED with tachycardia, cough, fever, and green sputum. Chest x-ray was
performed with left lower lobe infiltrate. The patient was admitted with bronchitis. Sputum
cultures were obtained in the ED as it was discovered the patient never filled the Z-Max
prescription. Sputum showed Staph and the patient was started on Vancomycin. The patient was
discharged with a diagnosis of acute bronchitis. The diagnosis query that could better reflect the
severity of illness and resources utilized for this patient and is clinically supported would be
a.Acute or chronic bronchitis
b.Sepsis
c.Pneumonia
d.Sepsis and pneumonia - Correct answer-c Based on failed outpatient treatment the clinical
findings of tachycardia, cough, fever, and green-sputum, chest x-ray was performed with left
lower lobe infiltrate, and positive sputum cultures, query could be warranted for pneumonia.
• Is conflicting, imprecise, incomplete, illegible, ambiguous, or inconsistent
•Describes or is associated with clinical indicators without a definitive relationship to an
underlying diagnosis
• Includes clinical indicators, diagnostic evaluation, and/or treatment not related to a specific
condition or procedure
•Provides a diagnosis without underlying clinical validation
• Is unclear for present on admission indicator assignment
On review of the audit trail for an EHR system, the HIM director discovers that a departmental
employee with authorized access to patient records is printing far more records than the average
user. In this case, what should the supervisor do?
a.Reprimand the employee.
b.Fire the employee.
c.Determine what information was printed and why.
d.Revoke the employee's access privileges. - Correct answer-c Audit trails are used to facilitate
the determination of security violations and to identify areas for improvement. Their usefulness
is enhanced when they include trigger flags for automatic, intensified review. In this case, the
audit trail review should be used to begin an investigation into what exactly the employee printed
and why (Shaw and Carter 2014; LaTour et al. 2013, 101).
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